Rock Hill Post Acute Care Center

In the surveyor’s words

From the most serious findings on record at Rock Hill Post Acute Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF725Apr 21, 2021

  Based on interviews and record review, the facility did not have sufficient nursing staff to assure highest practicable physical, mental, and psychosocial well-being of each resident. Interviews with residents, resident council, staff, and family indicated there were not enough staff to provide care for residents. This was confirmed by review of certified nursing (CNA) hours over the past three months. The findings included: Interview with Resident #2 on 4/19/2021 at approximately 11:52 PM revealed there was not enough staff. The resident stated wait times after pushing a call light could be 45 minutes - 1 hour. This might happen when they were wet, when they needed food / water, or when they wanted something that wasn't within reach. […]

• No harm, potential for more than minimal, isolatedF602Sep 11, 2025

  Based on interview, record review, and facility document and policy review, the facility failed to protect a resident's property from misappropriation for one of three residents (Resident (R) 96) reviewed for resident rights out of a total sample of 23. This failure had the possibility of negatively impacting all residents residing at the facility due to residents' property not being safeguarded against theft. Findings include: Review of the facility's Inservice Attendance Record, dated 04/04/25, indicated, Course Title: Resident Reported Theft/Loss . Subject: Theft/Loss by Residents: Theft of patient property is a form of abuse and should be reported to facility administration immediately. If the theft/loss is greater than $50.00 a police report must be filed. […]

• No harm, potential for more than minimal, isolatedF880Sep 11, 2025

  Based on observations, interview, and facility policy review, the facility failed to administer medications in a manner to prevent cross-contamination for five out of six residents (Resident (R)14, R65, R87, R97, and R98) observed during medication administration. This had the potential to cause the spread of infection in the facility.Findings: Review of facility's undated policy titled, Infection Control Prevention and Control Program - Hand Hygiene revealed, . This facility considers hand hygiene the primary means to prevent the spread of infections . 3. Wash hands with soap (antimicrobial or non-antimicrobial) and water for the following situations:a. When hands are visibly soiled; and . 4. […]

• No harm, potential for more than minimal, isolatedF695Aug 15, 2024

  Based on review of observations, interviews, record review and facility policy, the facility failed to administer oxygen consistent with professional standards of practice for 1 of 1 residents reviewed for respiratory care, Resident (R)21. Findings include: Review of the facility's policy titled, Infection Control Policy/Procedure, Subject: Oxygen, Use of with revision date 05/2021 revealed, Policy: It is the policy of this facility to promote resident safety in administrating oxygen. Procedures: The following guidelines will be observed in oxygen administration. 1. The O2 cannula or mask will be changed at least every 7 days, as well as the disposable humidifier. Tubing, masks, humidifiers and other disposables used for oxygen administration will be changed weekly or as needed. […]

• No harm, potential for more than minimal, isolatedF761Aug 15, 2024

  Based on observations, facility policy, and interviews, the facility failed to remove expired biologicals in 1 of 2 medication storage rooms. Findings include: Review of the facility policy titled, Storing and Controlling Medications dated ,d+[DATE] revealed, Policy: It is the policy of this facility to: 1. Store medications safely, securely, and properly following manufacturer's recommendations or those of the supplier, and in accordance with federal and state laws and regulations .Procedure: 9. Medications that are discontinued, expired .are immediately removed from the locked medication storage area and disposed of in accordance with the facility policies and procedures. […]